STUDY ABROAD by ujGaCD8E

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									                                        INTERNATIONAL STUDENT EXCHANGE

                                                    Internal Application Form

Students hoping to participate in the University’s Erasmus Exchange programme during the
academic year 2012/13 are required to submit this application form to the Study Abroad
Manager. You must first of all gain permission to study abroad from your Department/College
(or Departments/Colleges in the case of combined honours students).

Deadline for application : 1 February 2012

Supporting Documentation

      Transcript of modules taken and results to date (please ask your College Office)
      Personal statement explaining your motivation for taking part (approximately 500 words)
      Two academic references, from your personal tutor and one of your lecturers (stating your
       suitability for a period of study abroad, such that can be used to support your application
       to the host institution.)
      Submit to :
            College Study Abroad Coordinator

Personal Details

Surname:
First Name:
Student number:
Date of Birth:
Tel:
Exeter E-mail:
Current degree programme:
Current year of study:                                                    Length of degree:

Choice of University

Please indicate, in order of preference, three universities (where applicable) for which you
would like to be considered.


First choice:

Choice of modules you would like to study (4 per semester) :

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c:/application process/2012 Application form.doc
Second choice:

Choice of modules you would like to study (4 per semester) :

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Third choice:

Choice of modules you would like to study (4 per semester) :

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TO BE SIGNED BY THE STUDENT

I agree to supply the Study Abroad Coordinator with all the required documentation to
accompany this application by 1 February 2012. I also agree to inform the Study Abroad
Coordinator should I decide to withdraw from the programme at any time during the year.
I agree to the university processing my personal data in accordance with the Data Protection
Act 2001 and I authorise the International Office to discuss my details related to my period
abroad in compliance with the Data Protection Act 2001 with a third party, Parents/Guardian/
University administrative offices. If you do not agree to this, please tick here: 



Student signature:.................................................................................... Date: .......................



Where did you hear about study abroad opportunities? ...........................................................

TO BE SIGNED BY YOUR STUDY ABROAD CO-ORDINATOR

I support this student’s application to Study Abroad during the academic year 2012/13 at any
of their selected host institutions.


Co-ordinator’s signature: ......................................................................... Date: .......................
Comments:
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